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. get expert advisor choosing care for an elderly parent. hear how controlling your brain could improve physical flexibility and can there be harmony among bicyclists, drivers, and pedestrians. a study reveals ways to keep everyone safe on the roads. i'm susan sikora. that is on "bay area focus." next. ,,,,,,,,,,
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week to the show, i'm susan sikora. it's hard to admit a parent or grandparent is declining with age. they're living independently, but the day may come when it's no longer safe for them. decisions must be made about
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help and care and often relocation to an assisted living or nursing home. the process can be difficult. here with pointers, we welcome back david knifler, a jerentologist who has been working in the field since 1983, a member of the west marin senior services and the alzheimer's association at marin. he currently works as drake terrace, an assisted living facility. welcome back. >> nice to see you, susan. >> in the old days, it used to be grandma's sick and getting frail. she staid home and we took care of her. what changed? >> the whole idea of a nuclear family expanded and then people are living longer. >> huh. >> one of the great benefits of modern society is that woliving longer and healthier, and which then creates more needs within people's families. >> yeah. >> you know, and that is, i think, that is the biggest thing that changed. >> okay, what are the signs that somebody who is elderly
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should no longer be on his or her own. >> that changeed recently the last few years, and i think the first -- the first indication is judgement, you know. i think if we all have a grander idea of what we can accomplish, we can. >> sure. >> and once we get to where things that were easing -- easy for us -- balancing a checkbook, arranging for people to come and do things at our house, getting ourselves to doctor's appoint mets and shopping on once those are more challenging, that is the firstpdy caution that what is going on here? where has the house gone from insulating to isolating. >> uh-huh. >> when we're raising a family, our house is there to protect us from the evils of the world. as we age and our children move
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away our for instances move away and pass on, we stop driving and our house is isolating. >> talk about the options. first of all, interviewing this conversation is -- introducing this subject is difficult for some people. most of them, like you said, we have this idea that we can do more than we think. >> uh-huh. >> what is the difference between a a lifted living, a nursing home, skilled nursing facility or an independent senior community where they seem to play golf all the time. >> sure. everyone loves the marketing ideas. i'm out there golfing. >> yeah. >> and i am going to be sky diving. there is a range. there is the over 55 communities, which really are just people united by the idea of how old they are and may or may not be services available. there may not be a common clubhouse. >> you cook your own. >> cook your own food, clean your own place and arrange your own transportation. that is bare bones and nice
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because everyone around you technically is the same age group. there is a big difference between someone 55 and someone 80 and 95. >> uh-huh. >> that is three generations. >> let's talk about the assisted living and nursing homes. >> assisted living, and those are defined by the state of california. the assisted living is where it may or may not be run by a nurse. doesn't have to be run by a nurse but someone skilled and working around some older adults. they not going get one-on-one care or therapy and not getting injects. skilled nursing setting is twofold. one is someone who fell and broke a hip, needs to get back on their fight and go to rehabilitation and they're getting attention through physical therapy and occupational therapy.
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then there are folks who need someone keeping an eye on them maybe with the door open 24 hours a day. >> uh-huh. >> and that is more of a sedate setting. >> okay, and when you select one of these, decide which category it is, say it's assisted living. you look at all of the places assisted living near you. i had to do this with one of my own -- with my own mother. i wanted a place to where i can get there in an emergency and often. what else do you choose, though, what do do you? >> there are two agendas, yours and your mother's. >> uh-huh. >> and the first thing, thank goodness for the internet. >> uh-huh. >> your friends are going through this at the same time. we're in the generation. >> sure. >> and calling and make an
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appointment. some people like to come into the community unannounced. the first time you come through, you have so many questions and you want the right person to answer the questions. making an appointment and looking around. do people look happy? how does it look and smell? and most important, reality. are people going be with your mother and nurturing her and you are as show handed you off to your college r.a., maybe, you're handing off your mother to someone. is this person going to change every month or is there stability in the community? >> the cost of these things can be very high. >> uh-huh. >> reporter: don't know what is going to happen when our generation get there. but, the people, the world war ii is gone. they had homes paid for, maybe the last generation to do that, things were more doable,
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perhaps. what happens? the relative cost is between 3 and 5,000 or up per month? >> that is a good starting point in the bay area. >> uh-huh. >> and that is what we're talking about. >> the other thing, if you can't afford that, if you didn't have a home, there are people who have rented all their lives or didn't do as well financially and they have some hardship that wipes them out financially long the way. what kind of help is there? can you count on medicare to kick in? >> not really. there are pilot programs going on in the state of california in certain counties where they doing a medicare/medi-cal experiment to supplement. those counties are not really within our reach right now. those are like riverside county or l.a. county or counties where the amount that medicare/medi-cal is going to supplement is not going to necessarily meet the needs of the property owner. >> okay. >> and there is also, again, you motioned world war ii generation. world war ii, korea and vietnam vets, there is a program called
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the veteran's aid in attendant benefit which will help them. anyone who is a spouse of a widow or veteran, helping them with $1,100 a month up to a married couple of veterans, getting $2,500 a month from the va. >> i would assume there is a way to ask for people if they in a moderate income situation, in other words, if the place looks expensive, don't discount it until you ask the question. is there any accommodation for this? >> it never hurts to ask. the other thing is that, again, certain properties when they were built had to enter into a partnership with the county to get some tax savings and tax subsidies. they had to open up a certain amount of their apartments to low-income housing or moderate housing. >> got it. >> never hurts to ask. >> all right. david, i wish we had more time. you will be back, i am sure. this is a problem that can persist. contact david at drake terrace and go to their website at lifeatdraketerrace.com. stay with us. more ahead.
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. welcome back. a bit of housekeeping before we begin the segment. he can be reached at 4191935. we had that wrong on the screen. okay. you heard the term mind over matter. it's turning out to be more
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than a proverb. new research is telling us more and more about how the brain affects the rest of the body. meet the clinical psychologist as the director of the nak banyel center in san rafael, helping people with movement challenges and autistic children by teaching them to rewire their brains to improve their ability. take a look. >> this is julia. here she is about five years old. i saw her first when she was two. quite severe case of autism. she had enormous amount of fears likephobias from tassles and other things. it was impossible to turn her over and i realized quickly shoo had real issues with processing information coming from her system. so, i focused on that a lot and i don't have intervows from
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those -- interviews from those lessons. she also didn't have no eyes. she couldn't say i want or that is me. she would say julia wants chocolate and talk as if someone was asking her a question. now, within the first series of lessons, she started getting her first i and me and here you see a child that i can give her instructions and have her feel what she's doing and not doing with her lower back and how to use it. we have had quite a bit stop between now and about a year earlier because her mother had another baby and they come from the midwest. here, i'm telling her to round her back and feel what she's doing and then i'm telling her to arch her back so she will know how to get tall. >> thank you. >> julia made remarkable strides. you can see she is not only listening to me but herself. now, she still had issues. she was not like 100% a normal
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child, but she was able to function fully in school and did much better. >> she is the author of "kids beyond limits" and "move into life, the nine essentials for lifelong veital et." thank you for being with us. >> love being here, susan. >> that is fascinating. what is it julia did from the first earlier part of the session to the last one that made the progress? what did she do? >> it's what she and i did together. >> uh-huh. >> and what happened is using the non-essentials in my book, i got her brain to be able to generate now information and process information in a way that she could start actually literally making sense of her body and of herself and create a sense of self. >> uh-huh. >> and did you change the way she thinks? did you give her different beliefs? is this like hip noseis? sounds like -- you didn't do any surgery, for sure.
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it was nothing like that. >> i did, you know, one of the things they mentioned and the way i work with children and adults. i don't try to fix the child. for them to move certain ways or, you know, with autism and i don't try to make them do what they can't. what i do is i start interacting with the child, where they are and providing them experiences kinesthetic, emotional, and cognitive that their brain generates new information and spontaneously gets them better. rather than try to make them do what they can't, i do what i believe healthy children do, which is a lot of exploration and a lot of new connections in the brain from which the brain extracts new functions. >> us use this also with adults who would be either paralyzeed, they can't walk or move, they
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lost movement of some kind. >> yeah. >> is there a reason they lost it? do they have to be brain damaged or something natural like arthritis with age? >> either one. >> really? >> you see, one of the things that people, most people do spontaneously, separate mind from body. we think and we have emotions and then we have a body. >> uh-huh. >> and really, we have a brain and nervous system we learn from experience how to think and feel and learn to believe. it's a huge massive lifelong learning process. it's a learning machine. we are learning we can't be and live and that is where the opportunity lies. the human brain can change at any time and that is -- if someone had a stroke or brain damage, is their movement capacity changeed? their thinkings and emotions shifted. the brain integrates everything into action. >> uh-huh. >> and what we do with my approach and my method is
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literally communicate with the brain. the main tool, my first essential for communication with the brain to provide the new information is movement but not movement alone. i say movement is the language of the brain or as einstein said, nothing happens until something moves, but movement with attention. research shows that movement without the tension does not bring about significant change in brain connections. that means doesn't generate new brain connections. >> you do something mindlessly. >> exactly. >> you're used to doing that. >> exactly. >> if anything, the jent who spoke before about ageing, if we do something over and over, you get into the habit. >> you mentioned stroke. a lot of times you hear that someone had a stroke, especially if they lose something like speech or movement. it's like i had to relearn to talk. i had to relearn to walk. is this the same, along the same lines? >> yes. they absolutely have to relearn
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because they lost parts of their brain and the connections and that is like you weak up in the morning and you're not you anymore. >> we're out of time, but one quick thing. if i read this book, you talk about the nine essentials, can i do it on my own safely? >> absolutely. movement with a tension. the tension gets the brain to change while you move. daily movements, anything. if you take two minutes here and there, the other thing to do is to slow down so you get to feel what you're doing. very, very important. older people stop feeling what they're doing. >> do you do yoga? >> not really. >> okay. i do -- because the philosophy, what i'm told, i'm not that proficient, it's the same, mindfulness. >> absolutely. i don't do yoga because my time is taken up doing other things but that can be wonderful. >> thank you for being here. >> thank you. >> the books are called "move into life" the nine essentials of lifelong vital etand the other book is called "kids
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beyond limits" and addresses the autistic question. you did the same method. >> and some other children with special needs. >> stay right there, we'll be right back. there is the website. ,,,,,,,,
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welcome back. weather it's to save gas mean, clean air or waste lines -- waistlines, more folks are pedaling their bike to get around. there are safety concerns on the road. for drivers and pedestrians as well. meet john brazil.
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a contributing researcher for manetta institute which did a study for safety. he serves as a bicycle cyclist and bike program coordinator for the city of san jose. welcome, glad to have you here with me. >> there is a biker there and i'm always careful. you want to go into the next one. let's back up, first of all, and say how did he get involved with the bike group? with the bike study. they usually do bare things and smart trains and all of that. >> mineta transportation institute is a federally-funded research and technology transfer organization funded by the feds and the state. private funding as well and they focus on surface transportation issues. so it can be braille, it could be cars, bus, or bicycling as well. >> uh-huh. >> and they saw bicycling was of increasing interest to cities and looks like the safety issues. so, as you're the lead investigator and he asked me to write a chapter on this. >> okay. >> she -- so, how did you
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conduct the study? >> it was a sorry have a of best practices of other cities in the u.s. >> oh. we focused primarily in the u.s. and worked on what is working and not working to improve safety in the realm of education. people talk about the five es of how to affect -- effect trains and transportation, whether it's engineering or design and education reach outing to folks letting them know how to behave. enforcement, having police ticket, encouragement and evaluation. >> uh-huh. >> and you looked at the cities where this was working really well. where are they? i'm going to guess right off. let me try. is it seattle or portland, oregon? >> wow, you did a great job. portland is one of them. >> they have a reputation of they will tell you. i think the chamber of commerce let's you know somewhere. and not only do you see the bikers out there, this is successful there and what is it that they do there? what is it that they do on a
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daily basis in terms of relationship with people driving cars that we're not doing here in the bay area? >> from an education perspective, two factors of education. you have to have connections with the community that you're targeting and trying to affect change in and you have to sustain the connections. we found the city would engage the community through advertisements, whether radio, tv, or bus banners on buses and they would say we're done the first problem is that it's not active engagement but passive. the second problem, it's not sustained and maybe people see it once or again. they are literally going door- to-door and saying we have a free program to help and repeating that. >> it's interesting that you say the relationship was important, too. i think a lot of people get in the car and go the darn bikers. the people in the bikes, the gas-guzzling cars and that is like we're at war with each
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other, you know, ridiculous in a way. one of the things, though, i think and i am saying this as a driver. i don't ride a bike, but i think the people on the bicycles sometimes, not all of them, certainly, tend to ignore things like stop signs. those are for them as well. >> yes, the same rules that apply to motorists apply to bicyclists on the road. >> uh-huh. >> and that is interesting. the studies show half of the time the collision is caused by motorists and half the time, when a bicycle is involved it's caused by the bicyclist. rather than focus on blame, what can we do to change the behaviors? and really with the education and letting people know what they doing wrong and how they can change that. most collisions can be prevented by three factors. one, is people paying attention, and driving a car or riding a bike. >> uh-huh. >> slowing down. >> and that is not a race. >> right. >> and -- . >> exactly. >> and following the rules of
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the road and if we do that, we will be better off. the lows apply to the bicyclists and motorists and they both equally at fault. the vast majority of people are doing a good job whether they're riding a car or driving a bicycle. while 99% of the people are cog it right, we see the -- doing it right, we seat one doing it wrong. >> are helmets the law for everybody? >> yeah. >> you're required to have a helmet. common sense would tell us if you're 18 or older, it would make sense and that has a seatbelt for a brain and that is a good preventative tool and some people are concerned about their hair. ultimately, we want to prevent collisions by being safe and paying tag, following the rules of the road and slowing down and there is that interesting thing out of scandinavia.
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the company is developing an alternative to a helmet and looks like a fashionable shawl. >> uh-huh. >> an air bag for a bicyclist. the studies are showing that they have done tests that if a bicyclist is hit by a car, this shawl or the scarf would blow up and create an airbag helmet. >> wow. >> and that is affective. there might be an alternative. >> pedestrians still have the right-of-way? >> generally in the crosswalk and some bicyclists should yield to them. >> the bottom line, they're going to use common sense and considering. even if the other person's right, you have to accommodate. who wants an accident, right? >> okay, john brazil, thank you for being here. for more information on how to share the road safely, visit the website at transweb.jfk.u.edu and we leave you with recording artist one giant leap.
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i'm susan sikora, thank you for watching.

tv
Bay Area Focus With Susan Sikora
CW January 13, 2013 8:00am-8:30am PST

Series/Special.

TOPIC FREQUENCY Us 7, Susan Sikora 3, Julia 3, California 2, Drake 2, Brazil 2, U.s. 2, Portland 2, Noseis 1, R.a. 1, David Knifler 1, Manetta Institute 1, Grandma 1, Mineta Transportation Institute 1, Alzheimer 's Association 1, United 1, Veital 1, Bus 1, Changeed 1, Einstein 1
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Scanned in San Francisco, CA, USA
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